Introduction: Penile prosthesis surgery for erectile dysfunction has one of the highest satisfaction rates among all treatment options but is often associated with subjective and objective loss of penile length and girth following surgery.
Aims: To present a novel technique using a subcutaneous soft silicone implant for reversal of penile shortening and narrowing after prosthesis surgery, with additional gains in overall penile length and girth.
Methods: 9 patients who complained about significant decrease in penile length and girth following insertion of a penile prosthesis (malleable and inflatable) were treated with the insertion of a subcutaneous soft silicone penile implant. All patients (100%) had previously reported a loss in penile length (0.5-2 cm), and 7 of 9 patients (78%) also reported a loss in penile girth (0.5-2.6 cm) after penile prosthesis surgery.
Results: During a follow-up period of 4-24 months (11 ± 5.7 months), penile length and girth measurements showed a mean increase in length of 2.5 cm (±0.7 cm) and a mean increase in girth of 3.4 cm (±0.8 cm).
In a second group consisting of 3 patients with a follow-up period of only 2 weeks post surgery, penile length and girth measurements showed mean increases in flaccid length of 2.0 cm (±0.8 cm) and in erect length of 2.3 cm (±0.8 cm) and mean increases in flaccid girth of 2.7 cm (±0.7 cm) and in erect girth of 3.5 cm (±1.4 cm).
Conclusions: The additional insertion of the subcutaneous soft silicone implant in patients with decreased penile length and girth after penile prosthesis surgery is an effective treatment option that provides reversal of lost penile length and girth. Additional increases in penile length and girth over time have been observed. Further prospective studies are required to validate our initial experience.